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California Hazardous M ials Inventory Form - Chemical Des _ tion <br /> PAGE(2) OF(3) <br /> BUSINESS NAME <br /> (4)UNIFIRST CORPORATION <br /> CHEMICAL LOCATION(S)(5)BOILER ROOM <br /> MAP#(6)/ GRID#(7) 1/Al _111u-, NA NA NA NA <br /> CHEMICAL NAME (8) SODIUM BISULFITE TRADE SECRET(11) ❑YES ®N0-1 <br /> COMMON NAME ; (9) DWT-407 <br /> *EHS(12) ❑YES ®NO <br /> *IF EHS BOX IS"Y" <br /> CAS # 00) 7631-90-5 ALL AMOUNTS MUST BE IN LBS <br /> FIRE CODE (13) <br /> HAZARD LEAVE BLANK <br /> CATEGORIES <br /> TYPE (14) ®PURE ❑MIXTURE ❑WASTE RADIOACTIVE(15) ❑YES ®NO (16)[� <br /> PHYSICAL STATE(17) ❑SOLID ®LIQUID ❑GAS CURIES <br /> FED HAZARD <br /> CATEGORIES (18)10FIRE ❑REACTIVE ❑PRESSURE RELEASE ❑ACUTE HEALTH ❑CHRONIC HEALTH <br /> STATE WASTE (19) UNITS*(22) ®GAL ❑LBS <br /> CODE N/A ❑CU FT [I TONS MAX DAILY AMT(23 5 5 <br /> ON SITE — <br /> DAYS ON SITE {20) *If EHS,amounts must be in Ibs AVG DAILY AMT(24)I <br /> 5 5 <br /> 365 <br /> ON SITE 5 5 <br /> LARGEST (21 55GAL ANNUAL WASTE AMT(25) NA <br /> CONTAINER <br /> STORAGE (26) ❑ABOVE GROUND TANK ❑CAN []BOX ❑TANK WAGON <br /> CONTAINER ❑UNDER GROUND TANK ❑CARBOY ❑CYLINDER ❑RAIL CAR <br /> ❑TANK INSIDE BUILDING ❑SILO ❑GLASS BOTTLE ❑OTHER <br /> ❑STEEL DRUM ❑FIBER DRUM ❑PLASTIC BOTTLE ❑Other... <br /> ®PLASTIC/NONMETALLIC DRUM ❑BAG ❑TOTE BIN <br /> STORAGE (27)IN AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT <br /> PRESSURE <br /> STORAGE (28)IN AMBIENT ❑ABOVE AMBIENT ❑BELOW AMBIENT ❑CRYOGENIC <br /> TEMPERATURE <br /> (29)% 30 HAZARDOUS COMPONENT (3 1)EHS 32 CAS# <br /> <10% EODIM BISULFITE YES ®N 7631-90-5 <br /> ❑YES ❑KqF— <br /> F <br /> ❑YES ❑9 <br /> - [:1 YES ❑NqE <br /> l—❑YES 0K <br /> q[= <br /> ADDITIONAL LOCALLY COLLECTED INFORMATION: (33)UNITED NATIONS ID#(DOT) N/A <br /> (34)WHAT IS MATERIAL BOILER TREATMENT <br /> USED FOR? <br /> DATE REC'D: 1/8/04 For Official Use Only: 0 C 0 R ❑S SJC 12/99 <br />